论文部分内容阅读
经皮穿刺腰椎间盘髓核摘除术是治疗腰椎间盘突出和膨出的新技术,而适应症的选择是应用该技术的关键。本文通过121例CT图像观察和治疗结果分析,认为单纯椎间盘突出和膨出合并相应临床症状者为该技术的绝对适应症;上述合并轻度椎体退行变者为相对适应症;而对伴有骨性椎管、侧隐窝狭窄,黄韧带肥厚,突出或膨出椎间盘有钙化、积气,游离椎间盘碎片一项者,即视为禁忌症。
Percutaneous lumbar discectomy is the treatment of lumbar disc herniation and bulging of the new technology, and indications of choice is the key to the application of the technology. In this paper, 121 cases of CT image observation and treatment results analysis, that the simple disc herniation and bulging with the corresponding clinical symptoms of the absolute indications for the technology; the above patients with mild retrograde degeneration is the relative indications; and associated with Osteoid spinal canal, lateral recess stenosis, hypertrophy of the ligamentum flavum, calcification of the prominent or bulging intervertebral disc, a product of free gas and free disc fragments are considered as contraindications.